HCB TCCC Test 2023 |104 Question And
Correct Answers.
Army, Navy, Air Force, Marine Corps, and Coast Guard - - TCCC is used by who?
-The Committee on Tactical Combat Casualty Care - - Who is the only one who can
make changes to the TCCC standard?
-A tourniquet - - What is the only intervention to be placed on the "X"?
-Immediately after you have completed moving them - - How often do you reassess
interventions in relation to moving a PT?
-1 gram fused with 100 milliliters of normal saline over 10 minutes (with a maximum of
two doses to safely administer to the PT) - - How is Tranexamic Acid (TXA)
administered?
-500 milliliters bolus (max dose 1000 mL) - - How is Hetastarch (Hextend)
administered?
-Increases blood volume (not oxygen levels) - - What is the main function of
medications like Hextend and RIngers Lactate?
-400-800 micrograms in the form of a lozenge to be placed between the cheek and gum
and taped to the PT's finger (max: 1600 mcg/d) - - How is Fentanyl (actiq)
administered?
-50 mg (IM or IN) q30 minutes
or
20 mg (slow IV or IO) q20 minutes
(max: 100 mg) - - How is Ketamine (ketalar) administered?
-a 400 mg tablet or via IV - - How is Moxifloxacin (Avelox) administered?
-Mental status: confused/ lethargic
Radial Pulse: weak
HR: 120+
SBP: decreased
RR: >35
Will the PT die?: maybe - - Indications that the PT has lost 2000 cc's of blood
(decompensated)
-The PT has a TBI and you should treat for shock - - If the PT has an absent radial pulse
what does that indicate and how should it be treated?
-The oxygen saturation reading - - What does high ambiente light affect negatively?
, -Sit them up if that makes breathing easier and monitor the respirations aggressively - -
If the PT has burns covering the face, but is still breathing, what steps are taken to
protect the airway?
-True - - True or false: It is okay to remove hemostatic dressings (i.e. combat gauze) and
replace them if they become blood soaked and are no longer seeming to adequately
function?
-2nd intercostal space at the midclavicular line
4th or 5th intercostal space at the ANTERIOR axillary line - - What are the two
acceptable locations for needle decompression?
-14 gauge, 3.25" needle/catheter - - How big is the needle/catheter used for a needle
decompression?
-Hextend is best, Crystalloids (NS) is worst - - What fluid resuscitation is best and worst
when treating for shock?
-250 mL of Hypertonic Saline (3-5%), elevate the head 30 degrees, and hyperventilate -
- How is intracranial pressure reduced in the case of a TBI?
-A eye shield and administer a rapid field test for visual acuity - - How is a penetrating
eye injury treated?
-They are active blood thinners and reduce blood clots potentially causing a PT to
hemorrhage without reduction - - Why are NSAID's not used in combat?
-Hypovolemic shock, respiratory distress, unconsciousness, and severe head injury - -
What are the four contraindications of morphine and fentanyl?
-TACEVAC only - - When is CPR given in the three phases of TCCC?
-20% TBSA or greater - - How large of a surface area is fluid resuscitation initiated in
burn PT's?
-%TBSA x 10cc/ hr (adults 40-80 kg) (for every 10 kg over 80, increase rate by 100 mL/
hr) - - What is the TFC burn guideline formula for initiating fluid resuscitation?
-1 gram (IM or IV) q24 hours
IM: 3.2 mL of 1% lidocaine without epinephrine
IV: reconstitute with 10 mL of NS over 30 minutes - - How is Ertapenem (Invanz)
administered?
-90% - - What percentage of combat deaths occur prior to reaching a MTF?
-Massive hemorrhage
Correct Answers.
Army, Navy, Air Force, Marine Corps, and Coast Guard - - TCCC is used by who?
-The Committee on Tactical Combat Casualty Care - - Who is the only one who can
make changes to the TCCC standard?
-A tourniquet - - What is the only intervention to be placed on the "X"?
-Immediately after you have completed moving them - - How often do you reassess
interventions in relation to moving a PT?
-1 gram fused with 100 milliliters of normal saline over 10 minutes (with a maximum of
two doses to safely administer to the PT) - - How is Tranexamic Acid (TXA)
administered?
-500 milliliters bolus (max dose 1000 mL) - - How is Hetastarch (Hextend)
administered?
-Increases blood volume (not oxygen levels) - - What is the main function of
medications like Hextend and RIngers Lactate?
-400-800 micrograms in the form of a lozenge to be placed between the cheek and gum
and taped to the PT's finger (max: 1600 mcg/d) - - How is Fentanyl (actiq)
administered?
-50 mg (IM or IN) q30 minutes
or
20 mg (slow IV or IO) q20 minutes
(max: 100 mg) - - How is Ketamine (ketalar) administered?
-a 400 mg tablet or via IV - - How is Moxifloxacin (Avelox) administered?
-Mental status: confused/ lethargic
Radial Pulse: weak
HR: 120+
SBP: decreased
RR: >35
Will the PT die?: maybe - - Indications that the PT has lost 2000 cc's of blood
(decompensated)
-The PT has a TBI and you should treat for shock - - If the PT has an absent radial pulse
what does that indicate and how should it be treated?
-The oxygen saturation reading - - What does high ambiente light affect negatively?
, -Sit them up if that makes breathing easier and monitor the respirations aggressively - -
If the PT has burns covering the face, but is still breathing, what steps are taken to
protect the airway?
-True - - True or false: It is okay to remove hemostatic dressings (i.e. combat gauze) and
replace them if they become blood soaked and are no longer seeming to adequately
function?
-2nd intercostal space at the midclavicular line
4th or 5th intercostal space at the ANTERIOR axillary line - - What are the two
acceptable locations for needle decompression?
-14 gauge, 3.25" needle/catheter - - How big is the needle/catheter used for a needle
decompression?
-Hextend is best, Crystalloids (NS) is worst - - What fluid resuscitation is best and worst
when treating for shock?
-250 mL of Hypertonic Saline (3-5%), elevate the head 30 degrees, and hyperventilate -
- How is intracranial pressure reduced in the case of a TBI?
-A eye shield and administer a rapid field test for visual acuity - - How is a penetrating
eye injury treated?
-They are active blood thinners and reduce blood clots potentially causing a PT to
hemorrhage without reduction - - Why are NSAID's not used in combat?
-Hypovolemic shock, respiratory distress, unconsciousness, and severe head injury - -
What are the four contraindications of morphine and fentanyl?
-TACEVAC only - - When is CPR given in the three phases of TCCC?
-20% TBSA or greater - - How large of a surface area is fluid resuscitation initiated in
burn PT's?
-%TBSA x 10cc/ hr (adults 40-80 kg) (for every 10 kg over 80, increase rate by 100 mL/
hr) - - What is the TFC burn guideline formula for initiating fluid resuscitation?
-1 gram (IM or IV) q24 hours
IM: 3.2 mL of 1% lidocaine without epinephrine
IV: reconstitute with 10 mL of NS over 30 minutes - - How is Ertapenem (Invanz)
administered?
-90% - - What percentage of combat deaths occur prior to reaching a MTF?
-Massive hemorrhage
